Ms Kristin Colleen Waltz, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Millfield, Ohio. Her current practice location is
10595b Sand Ridge Rd, Millfield, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 671-7762.
Ms Kristin Colleen Waltz is licensed to practice in Ohio (license number 1600261-S) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922333509.
Healthcare Provider's Profile
Full Name | Ms Kristin Colleen Waltz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10595b Sand Ridge Rd, Millfield, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922333509
- Provider Enumeration Date: 10/15/2009
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072998475
- Enrollment ID: I20220921003159
Medical Identifiers
Medical identifiers for Ms Kristin Colleen Waltz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922333509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1600261-S (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kristin Colleen Waltz allows following entities to bill medicare on her behalf.
Entity Name | Integrated Services For Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073578431 PECOS PAC ID: 9234372525 Enrollment ID: O20130905000931 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kristin Colleen Waltz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kristin Colleen Waltz, LISW-S 10595b Sand Ridge Rd, Millfield, OH 45761-9601 Ph: (937) 671-7762 | Ms Kristin Colleen Waltz, LISW-S 10595b Sand Ridge Rd, Millfield, OH 45761-9601 Ph: (937) 671-7762 |
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